When we have the option i always place the tv to one side of the fireplace says designer scot meacham wood.
Built in fireplace and tv side by side.
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The tv is also less likely to be overbearing.
Bookcase and tv off to the side.
If space allows the side by side method is ideal because it puts the tv at a preferred viewing height.
In smaller spaces however the stacked approach might be the only option.
The two most common ways to pair a fireplace and a tv are side by side or stacked.